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17884 (1995)
� J� CTCY OF DIAMOND BAR �� � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 21825 E.Copley Drive " (909)860-3195 Fax(909)661-3117 � � PRESS BUILDING PERMIT APPLICATION FIRMLY � JOBSITE � � �� �NUMBER� D��p I J �� APPLICATION a PERMIT P/C o ADDRESS �ATE_ $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS z CITY ZIP TEL. FRONT Ryy ❑ g APPLICANT TEL. SID SIDE STREET RW p � CONTRACTOR C SIDE p O ADDRESS CITY ZIP TEL. PROPOSED USE o ARCH/ENG/ DESIGNER f 7i NO.DWEL. NO. NO. = C'DnDrRESS ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER OECLARATION SFR/ADD/REM O � 1 HEREBV AFFIPoA UN�ER PENALTY OF PERlUitY THAT I AM EXEMPT FROM iHE CONTMCTORS L4 Garage/Carport W CENSEUWFORTHEFOILOWINaREA.�CN(SEC.7071.SBUSWESSANDPpOFES510N5CO0E:NiYC1T1'OR (n C� COUNTYWHIp1flEGUIRESAGERNITTOCONSTRULT,ALTER�PNOVE.DEMOLISH,ORREPAIRANYSTRUC• W patiaDeck � TUHE,GRIOH TO RS ISSUANCE,ALW REOUIRES TME APPLICANT FOH SUCH PERMIT TO iILE A SICNEO W � S7A7EA1ENT THAT HE OR SHE IS UCENSED PURSUMlT TO iHE iROVI510N5 OF iHE CONTMCT01i3 LI• � � CENSE LAW�LHAPTER Y(COMMENCPJO WITH SECTION 700010F DIVISbN�Of THE BU51NE55 AND VN0. POOUSpd FESSIONSCOOEIORTHATHEORSHEISEXEMPTTNER[FHOMANDiHEBA515FORTHEALLE0E0ExEA1P• (� V TION.ANYVKKATIONOFSECTION70]t.SBVANYAPPLICANTiORAPERMITSU&IECTSTTIEAPPLICANTTO Z Re-Roo1 A GVILPENALTV OF NOT MORE 1HAN FIYE HUNDPED DOlLA0.5�f5o0).): ZOL�O\N�EHOFTHEPROPERTY,ORIdVEMPLOVEESWITHWAGESASIHEIR50LECOMPENSATqN, 0 COfI1f11BfC18I - VlILL OO THE WORK,/WD THE STRUCTURE IS NOT IMENOED OR OFFEREO FOR SALE(SEG 70N,BU51� J � NESS IWD GROFESSIONS CODE THE CONTMCTORS LICENSE UW DOES NOT APPLV TO/W OWNER OF � VROGEHTY W/q BU0.O5 Oq IMPROVES THEREON.ANO WHO DOES SUCH WORK MIMSELF OR XERSELF OR WTHROUGMMISORNEROWNEAIPLOYEE$VROYIDEDTMATSl1LHCAPROVEMENTSARENOTINTENDEDOR m 0 OFFEFiE�FORSALEIF,IqWEVE1�iHEBULDINOORtA1PROVEMENTIS50LDNATMNONEYEAROFCOMPIE� Z TION.7ME OWNER�BUR�ER M!LL HAVE THE BURDEN OF PROYIN6 THAT NE OR SNE DID NOT BUILD OR � = IM�FIDVE FOR 1HE iUHPOSE OF SALE1 �y,J ❑l�SOWNEROF7HEPROPERTY,A/JE%CLUSNELVfANTRACTINOWRHLICEN5E000HTMCTORS (= TO CONSTRUCT THE OROJECT(SEC.70N,BUS�NESS AND PROFESSIONS COOE:THE COf.7MCTORS LI� VaIU81I0f1 AOJ.AREA L1J CENSEUWOOESNOTMPLYTOANONMEROFAVROPERTYWFqWLDSORIMPfqVE5T7EREON.AND � M?IOCONTMCTSiORSUCHOR0.)ECTSWITHALONTMCTOR(5)IICEN5E0GUR5U/WTTOTHECONTMG QUANTITY DESCRIPTION a FEE � TORSLICEHSEUW.j. �! � OIAME%EMPTUNOERSEC. B.6P.C.FORTHISREASON Q L L'vI"�1 v L V � .?� U LL' DATE OWNER �- � 0 W � LICENSED CONTFACTOiiS DECIAHATION W � � INEREBVAF�IRMUNDERPENALTYOfPER1URYTHAiIAMLIGENSE�UNOERiRON5qN50FCM�DTER � .t' p� Y(COMMENdNCiWITHSECTIDN7000�OFDIV15iON70FTHEBU51NES5ANDPROFE55qN5CODE,AND Z � � � � X MYLICENSEISNFULLPoHCEI�N�EFfECT. m LL1 0 UCENSE CUSS UC.NO. � V DATE CONTRACTOR a W " � - WORKERS'COMPENSATIONDECU4RATION ��- --- �-- � a �� ___. . ._ ,___. . .._.__. . . ._._._-�—� - .. � IHEREBYAFFIRMUNDERiENALTVOFGERlURY0NE0FTNEFOLLOWINGDECLAiUilONS: z � � _IHAVEANOWRLMAINTAINACERTIFICATEOFCONSEMTOSELF-INSUREFORWORKERS' _ Q COMPENSATION,AS VilOVIpEO BV SECTION�70o OFTME U80R CODE,FOR TME PEflFORMANCE U Q OF7HE WORK FOR WMip1THi5 PERMIT 15155UED. � � _IMAVEIWOWILLMAINiAINWORNERS'COAIPENSA7IONINSl1RANCE,A3PE�UIREOBVSECTqN QWOOOF THE U80R CODE,FOR THE PERFOR4ANCE OF THE WORK FOR WHldl TMS PERMIi IS � ISSUEO.MY WOFKERS'CAMPENSATION INSURANCE CARPoER ANO POLICY NUAIBER ME: CONSTRUCTION ], CARRIER PLAN REVIEW � POIICYNUM�ER � ELECTRIC � �nassEcnorar�mwreEoo��manEVEwrrtsrrnor.�Miwr�mm�R�aqoq��ss7. PLUMBING �L � Z 1 CERTIFV TlMT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,1 MECHANICAL (.'} SHALLNOTEMPLOYNtYPERSONWANYMANNERSOASTOBECOMESVBJECTTOTHE � WOPo(ERS'CAMVENSATqNUW50FCALIFORN10.µDAGREETHATIF15110UlDBECOME INSPECTIONFEE S SUOJECTTOTMEWORKERS'COM7ENSATqNYROVISIONSOFSECTqN77000FJHELABOR CODE,I S W1t1 FORTMNIiH COMPLY WITH THOSE PROVISiW75. ISSUANCE 1 O p DATE: APGLICAMT. SMIP � WIIRNINO:FAIWRETOSEWREWORKERS'COMPENSATpNCOVEMGEISUNUWFUL,ANDSMNLBE ENERGYP/C � SVBJECTANEGPLOYERTOCflIMINALPENILLTIESANDGVILFWESUPTOONEMINDRE071qU5MlO ENERGYPERMIT OOLUHS�S1oo,0oaJ,INADDITION TOTHE CASTOF COMPENSATION.DAMAGESAS PHOVIDED FOR IN � SECTqN 970E OF h1E 1A00R GODE.INTEREST.AND ATTORNEYS FEES. RETENTION FEE: oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IMEREBYAFFIRMUNDERVENALTYOFVERNFYTHIITTHEREISACONSiRUCT10NLENDP1aACENC`/ z FOF TME VERW RMMlCE OFTHE WORK FOR NTIIp1 THIS 7EHMIT IS ISSUED(SEG 70Y7,CIV.G). W � LEN�ER'S NAME � LENOER'SAODRESS w ICERTIFYTHATIHAVEREIIDTHISAPPLICATIONANDSTATETHATT/EABOVEWFORMATpNISCORRECT. TOTAL FEES ,, p_ IAGREETOCOMPLYYATH1LLlCffYANDCOUNTYORDINANCE5AN�51ATEUwSREIATINOi09VILDIN6 ,3��, �V � CONS7RUCTION.AND HEREBVAUTMORIZE RE7qE5ENTATNE50F THIS COUNTV TO EHTERUPON iNE �� Z ABOVE�4EMqNEOPROPEHTYiORINSPECTION%1RPOSES. COMMENTS 0 J _ ¢ VERMITTEE NAIAE(PRINT) � �/j SIGNATUREOFPERMiTfEE OATE � RECPT.NO. _PAID BY VALIDATION WHITE—Departmant Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENR D—Fila Copy,GREEN—ApplicanYs py � . � � .. � �p.. . . .� . .�,•"- �°',..� . ,� .. . .� ..n.,r^ ,J • . . ..,- . , . . c . . ..Y. • . ., ._ .. . . ., . . �1T1' C'�' DI�,F�dO�vD �l�&3 ' iC��Ni_s.:-�;dt�f� �E=COi� __,. ` __ __�__._ _ _ �..�.._._.. .._.____ �� �T� ti - ►l � �'.� I►��,''� �=;��� re1'� � 1►`�^f�a_'t'.aCre'��i� ry `�r� ���F-`��=c R�°�=� �I la�-'i��E��fJ� D w � _—_--_---------._. . _.�_------- � ._.__ ....._ .__... � . . ..__ .. ._ _. .. __�� -- .. _..:--. _____ __._....._.__.__`..__ .____---_�.�__._._. SET BACK I ' I I FLOOR JOIST � FTGS!FORP�IS/STEEL f —1 �� FHA REQ�I,9TS � ELECTRIC GROUND ; � UNDER FLOOR DUCT � GROUND PLUMBING I UtJDER FLOaR CU�dDUIT ' SLAB GRADE FIREPLACE FOUI�:DATION I TEMP POWER FIREPLACE BOND BEAM 4VATER SERVICE PAID H�i. abND EiEAh�1 ' I ' ROOF SHEATHING 8 FT. 60ND BEADA FRAMINGNENTILIATION ( FINAL BOt�D BEAh4 ROOF COVER PRE-GRADING I ROUGH HEATING BENCHING I ROUGH ELECTRIC I I ROUGH GRADING ROUGH PLUMBING � � FINISH GRADING SHOWER/TUB TEST i l POOL ELECTRIC EXT.LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL CEILING IN�ULATION _ � OFF SITE IMPS. DRYWALL NAILING � DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PITlL.L. ON SITE IMPS. GAS AIR TEST FINAL ZONI�IG FINAL COI�lST. � , F!RE DEPT. FIPJAL FINAL HEATIPJG � � HEALTH DEPT. FINAL � Fit��L ELECTRI� � _ _ � � DEV. FEES PAID FINALPLUMBING . 9�Q'1�! �{j��r���.ENERGY � t�� :i�1' Lir: .r.It;d: ' � CUMPJIENTS - � _ .. . - -- � — — _ —_ _ _- .... _ SEPTIC TANK SIZE SEEP PIT/U SIZE _.____,____.�., �`F�� i � ��y� :p ," , � , -� . Mar 28 02 10: 58a JENSEN FONTRNR 909-350-0654 P-2 l � � 24" CAST IRON FRAME CLARIFIERS � AS RECJUlRED & COVER IMTH GASKET (AT EXTRA COST) (GASTIGHT), 3 STANDARD 2432-83 RtSER-3" ��, ' E 2432-06 RISER-fi' '• VARlABLE ; ' 2432-12 RISER-12" �• � 5" MINIMUM ; 24" :.� ,� '.,. ` INVERT ' INVERT INLET � ' OUTIET • � , . . . . . . . . .�. . 4" INIET AND i � � sa�E v�w OU11ET PIPE C CUTAWAY AND FITTINGS, E ;. STANDARD , :. � . .. .... :,. . �..: . i B r------------� r---------------� r-------------� ----f . �-t� . , .l ! I . / �' � j , !, • • I I . •. I I • � • • . ' � l I � I � . ' . 1 1 I 1 1 1 ( A • ' i TOP V1EW ' � � � � t I � � • . 1 (COVERS AND � �� . _ � -_ k 1 � - _�.. ! _._,�,. . � ' � ' ' R{S'cR5 REhAAOVED) . .. � � . , _ L_�.^_—�__��_...__! L__...—___.__.____--J �--------'-----'J . BOX DESIGN LOAD: H-20 TRAFFlC. FOR COMPi.ETE �� • DESIGN AND PRdDUCT INFORMA7lON, ' CONTACT JENSEN PRECAST. � W0� C11�PAq�tlf Dl�T1310N DOi3�8FON DIIF.h310N' D6EN910N Dl�+�K.410N EXOAVA�710N EXCAVATIO[V 1�111�ER CiALLONB 11 H C D E WD7H L@IpTH CL-750 75d 4'-0" 8'-t` 6'-3" 5'-0" 4'-9' S'-0" 9'-t" i CL-1000 1000 5'-i' 8'-2" 6'-3" 5'-0' 4'-9" 6'-1' 9'-2" CL-1200 1200 S'-9" B'-6' 6'-6" 5'-0' 4'-9' 6'-9" 9'-6' CL-i500 1500 5'-7" 10'-8" 6'-3" 5'-0" 4'-9" 6'-7" ti'-8" C1.-2000 200Q 4'-11" 15'-11" 6'-0" 5'-0` a'-9` 5'-11' 16'-11' CL-2500 2500 5'-9' 16'-10' b'-0" . 5'-0"•. 4'-9". 6'-9' t 7'-10" . , . CL-3000 3000 5'-9' 16'-10" 6'-9' S'-9" 5'-6" 6'-9" 17'-10' CL-4000 4000 7'-8' 16'-7" 6'-9" 5'-6" � 5'-3' 6'-8" 17'-7' . CL-5000 SQ00 7'.-6" 16'-7` • _ �'-it` 6'-9" 6'-6" 8'-S" t7'-7' . PIEETS LOS ANGELES COUNTY DETAILS FOR STANDARD PLAn 2046-0 � � a/2/s� ������ 'OO 1997 Jensen Precast � • ' ' ' ����5�"�" Since 19G8 � . Mar 28 02 10:58a JENSEN FONTRNR 909-350-0654 P. � SAMPLE BOX - � WITH PIPE �ONNECTORS MODEL 2432-Z 24" CAST IRON FRAME & COVER WITFi GASKET (GASIIGM� AS REQUIRED VARIABLE (AT EXTRA COST) !�� 2432-03 RISER-3" 2432-Ofi RI�R-6' VARIABLE ?4" 2432-12 RISER-12" 36-1/2" - DIA. ` ` MINIMUM — 32" • 12" ��.. CUTAW Y . ��'�'`������ 32�� PIPE CONNECTOR � ��a' SEE DETAIL . �' BELOW : . . . � '� '���.h COMPACTED FILL �,._ OR UNDISTURBED ' EARTH SHOWN . _� WITH PIPE _ _ _ _ ._ _� (AFTER INSTALLATION) � ' � 70P VIEW COVERS __ _ AND RISERS REMOYED I - - —_ _. � � _ � _ J ? � -- - � VARIABLE OUTSIDE . INSIDE _ , DEfAIL ' - PiPE CONNEC70R WEIGHT: 1250 LBS. (Z-LOK) BOX DESIGN L�AD: H-20 TRAFFIC PIPE CO�lNECTOR BOX I.D. SURFACE AREA: 3.142 SQ. FT. CAST 1NTEGRALLY SAMPLE SOX MUST BE PLACED ON IN WALl�. WILL ACCEPT SUITABLE BASE OF COMPACTED SOIL PIPE O.D. (INGHES) OR UNDISTURBED EAR7H IN TRAFFIC MIN. MAX. CONDI710N. FOR COMPLETE DESIGN 4.25 6.25 AND PRODUCT INFORMATION, SEE Z-LOK PIPE CONNECTOR PAGE � CONTAC7 JENSEN PRECAST. FOR ADDI?IONAI. INFORMATION a�e/s� ������ 01997 densen Precast Pl�ECASrTm SinCe i963 � � Mar 28 02 1D: 58a JENSEhf FONTRNR . 909-350-0654 p, s • ,�. - - - - - �.�,., - - - •/s�.4+'.lr'f�i••�:K _ i. �4: a�rti--�. :ft.�ff:�iM.!�e��J'ct1�. a�.li i.+�+Y ;-�,C+ � �, 48" I.D. x 5" WALL � � COMPQNENTS G�c9T,Z20fJ GiuJ�fC,. ` S" �-TRf��IG lep7f'.Dy GAS TIGUZ" r — V�--s ` ktet-� � 36" . r - .� � - ' , ��� ' • 1 STEPS �'''�r ` 3 EtFC � Gn ac� (- . � f02 P�-N(2�`1 � µO t'� 7fFNrjL •,�.�f �/ d Q" C , _ . 5" .— . � WAII __ r- - - iTYf'. _ __ _ , . � � 8. r - � '•� TYP. � 71��e;a c.nrz�o 4"rYP. r. _ +1-o c�F � .,r� ,�-..n� ...,•...�...�... �Ltr�'i!�Tc�li... FI:�c.�1NC�• �i'�nJK Fi owr � �w. � . 1 0���' ' � �' F.SATt}i0L[ CO��SPON�ttTS ( sA�• CONFORM TO CURRENT t r ^ SPEClF1CAT10fdS, AST1.4 C-478 Afl� AASHTO Fd199-93. r FOR COMPLETE DESIGN . . , . . L .; ANO PRODUCT INFQRMATION, , � CONTACt J�NSEN PRECAST. 1 '�a�� I � 5� �ti . n/zz/se . -•.cb � Y st. - ..,r"� .v .A 1. +.+n M< :��l �r M �..++t 4 ^�. . k� os"^ ������ •b'..a•.a. - i�} +a��W. 1•�+^d./�+"' � J .i 1' f-r�.Ywt �� Kwyt'R� ' 'Y '' Y.4-i� 1� � '.bi .F J'!.. ,'i.. �r.�). �i .�-{. �l. 1,11T ti" •.•e!�.^.� (�c 1996 Jensen F'racosl pRF£/4.J��r, ` SI[1C� �gfl�